SearchMichigan374J00000X

Stephanie Mayne

NPI 1386975084 · on the registry since 2010 · sole proprietor

Practice

Address
1229 Sylvan Ave Se
Grand Rapids, MI 49506
Phone
(616) 706-1040
Fax
(616) 248-8688

Registry record

Primary taxonomy
374J00000X
374J00000X
Sex
Female
Record last updated
2010-01-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan